Dr. Vincent J Thompson III
Family Doctor Pain Medicine
2020 Penrose Avenue Suite A1
Philadelphia
, Pennsylvania 19145
Dr. Vincent J Thompson III
Family Doctor Pain Medicine
2020 Penrose Avenue Suite A1
Philadelphia
, Pennsylvania 19145
(267) 886-9761
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About
Features
Specialties
- Family Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Vincent J Thompson III
- 2020 Penrose Avenue Suite A1
- Philadelphia, PA
- Zip : 19145
- Fax : (267) 886-9761
- Phone : (267) 519-0518
Second Address
- Dr. Vincent J Thompson III
- 2020 Penrose Avenue Suite A1
- Philadelphia, PA
- Zip : 19145
- Fax : (267) 886-9761
- Phone : (267) 519-0518
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD426812 | PA |
| N | 2081P2900X | Pain Medicine | XT4563777 | PA |
National Provider Identifier
| NPI | 1174526180 |
|---|---|
| Provider Name | Dr. Vincent J Thompson III |
| First Address | Philadelphia, PA 19145 |
| Second Address | Philadelphia, PA 19145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 29/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 223613YHRN | MEDICARE PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.